Class: PdfFill::Forms::Va210781a

Inherits:
FormBase
  • Object
show all
Includes:
CommonPtsd
Defined in:
lib/pdf_fill/forms/va210781a.rb

Constant Summary collapse

ITERATOR = 
PdfFill::HashConverter::ITERATOR
KEY = 
{
  'veteranFullName' => {
    'first' => {
      key: 'F[0].Page_1[0].ClaimantsFirstName[0]',
      limit: 12,
      question_num: 1,
      question_suffix: 'A',
      question_text: "VETERAN/BENEFICIARY'S FIRST NAME"
    },
    'middleInitial' => {
      key: 'F[0].Page_1[0].ClaimantsMiddleInitial1[0]'
    },
    'last' => {
      key: 'F[0].Page_1[0].ClaimantsLastName[0]',
      limit: 18,
      question_num: 1,
      question_suffix: 'B',
      question_text: "VETERAN/BENEFICIARY'S LAST NAME"
    }
  },
  'veteranSocialSecurityNumber' => {
    'first' => {
      key: 'F[0].Page_1[0].ClaimantsSocialSecurityNumber_FirstThreeNumbers[0]'
    },
    'second' => {
      key: 'F[0].Page_1[0].ClaimantsSocialSecurityNumber_SecondTwoNumbers[0]'
    },
    'third' => {
      key: 'F[0].Page_1[0].ClaimantsSocialSecurityNumber_LastFourNumbers[0]'
    }
  },
  'veteranSocialSecurityNumber1' => {
    'first' => {
      key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_FirstThreeNumbers[0]'
    },
    'second' => {
      key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_SecondTwoNumbers[0]'
    },
    'third' => {
      key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_LastFourNumbers[0]'
    }
  },
  'veteranSocialSecurityNumber2' => {
    'first' => {
      key: 'F[0].Page_3[0].VeteransSocialSecurityNumber_FirstThreeNumbers[0]'
    },
    'second' => {
      key: 'F[0].Page_3[0].VeteransSocialSecurityNumber_SecondTwoNumbers[0]'
    },
    'third' => {
      key: 'F[0].Page_3[0].VeteransSocialSecurityNumber_LastFourNumbers[0]'
    }
  },
  'vaFileNumber' => {
    key: 'F[0].Page_1[0].VAFileNumber[0]'
  },
  'veteranDateOfBirth' => {
    'month' => {
      key: 'F[0].Page_1[0].DOBmonth[0]'
    },
    'day' => {
      key: 'F[0].Page_1[0].DOBday[0]'
    },
    'year' => {
      key: 'F[0].Page_1[0].DOByear[0]'
    }
  },
  'veteranServiceNumber' => {
    key: 'F[0].Page_1[0].VeteransServiceNumber[0]'
  },
  'email' => {
    key: 'F[0].Page_1[0].PreferredEmail[0]'
  },
  'veteranPhone' => {
    key: 'F[0].Page_1[0].PreferredEmail[1]'
  },
  'veteranSecondaryPhone' => {
    key: 'F[0].Page_1[0].PreferredEmail[2]'
  },
  'incidents' => {
    limit: 2,
    first_key: 'incidentDescription',
    question_text: 'INCIDENTS',
    question_num: 8,
    'incidentDate' => {
      'month' => {
        key: "incidentDateMonth[#{ITERATOR}]"
      },
      'day' => {
        key: "incidentDateDay[#{ITERATOR}]"
      },
      'year' => {
        key: "incidentDateYear[#{ITERATOR}]"
      }
    },
    'unitAssignedDates' => {
      'fromMonth' => {
        key: "unitAssignmentDateFromMonth[#{ITERATOR}]"
      },
      'fromDay' => {
        key: "unitAssignmentDateFromDay[#{ITERATOR}]"
      },
      'fromYear' => {
        key: "unitAssignmentDateFromYear[#{ITERATOR}]"
      },
      'toMonth' => {
        key: "unitAssignmentDateToMonth[#{ITERATOR}]"
      },
      'toDay' => {
        key: "unitAssignmentDateToDay[#{ITERATOR}]"
      },
      'toYear' => {
        key: "unitAssignmentDateToYear[#{ITERATOR}]"
      }
    },
    'incidentLocation' => {
      question_num: 8,
      limit: 3,
      first_key: 'row0',
      'row0' => {
        key: "incidentLocationFirstRow[#{ITERATOR}]"
      },
      'row1' => {
        key: "incidentLocationSecondRow[#{ITERATOR}]"
      },
      'row2' => {
        key: "incidentLocationThirdRow[#{ITERATOR}]"
      }
    },
    'unitAssigned' => {
      question_num: 8,
      limit: 3,
      'row0' => {
        key: "unitAssignmentFirstRow[#{ITERATOR}]",
        limit: 30
      },
      'row1' => {
        key: "unitAssignmentSecondRow[#{ITERATOR}]",
        limit: 30
      },
      'row2' => {
        key: "unitAssignmentThirdRow[#{ITERATOR}]",
        limit: 30
      }
    },
    'incidentDescription' => {
      key: "incidentDescription[#{ITERATOR}]",
      limit: 536
    },
    'combinedName0' => {
      limit: 80,
      key: "incident_source_name[#{ITERATOR}][0]"
    },
    'combinedAddress0' => {
      limit: 80,
      key: "incident_source_address[#{ITERATOR}][0]"
    },
    'combinedName1' => {
      limit: 80,
      key: "incident_source_name[#{ITERATOR}][1]"
    },
    'combinedAddress1' => {
      limit: 80,
      key: "incident_source_address[#{ITERATOR}][1]"
    },
    'combinedName2' => {
      limit: 80,
      key: "incident_source_name[#{ITERATOR}][2]"
    },
    'combinedAddress2' => {
      limit: 80,
      key: "incident_source_address[#{ITERATOR}][2]"
    },
    'incidentOverflow' => {
      key: '',
      question_text: 'INCIDENTS',
      question_num: 8,
      question_suffix: 'A'
    }
  },
  'otherInformation' => {
    question_text: 'OTHER INFORMATION',
    question_num: 12,
    limit: 11,
    first_key: 'value',
    'value' => {
      question_text: 'OTHER INFORMATION',
      question_num: 12,
      limit: 80,
      key: "F[0].Page_3[0].OtherInformation[#{ITERATOR}]"
    }
  },
  'signature' => {
    key: 'F[0].Page_3[0].signature8[0]'
  },
  'signatureDate' => {
    key: 'F[0].Page_3[0].date9[0]',
    format: 'date'
  },
  'additionalSecondaryIncidentText' => {
    question_num: 15,
    question_text: 'ADDITIONAL INCIDENTS',
    limit: 0,
    key: 'none'
  }
}.freeze

Instance Attribute Summary

Attributes inherited from FormBase

#form_data

Instance Method Summary collapse

Methods included from CommonPtsd

#combine_date_range, #expand_incident_date, #expand_incident_location, #expand_incident_unit_assignment, #expand_ssn, #expand_unit_assigned_dates, #expand_veteran_dob, #format_incident, #get_unit_date_overflow, #split_approximate_date

Methods included from FormHelper

#address_block, #combine_date_ranges, #expand_checkbox_as_hash, #extract_country, #extract_middle_i, #format_boolean, #select_checkbox, #select_radio_button, #split_date, #split_postal_code, #split_ssn, #validate_date

Methods inherited from FormBase

#combine_both_addr, #combine_full_address_extras, #combine_full_name, #combine_hash, #combine_name_addr, #combine_name_addr_extras, #combine_postal_code, #combine_previous_names, date_strftime, #expand_checkbox, #expand_date_range, #expand_signature, #initialize

Constructor Details

This class inherits a constructor from PdfFill::Forms::FormBase

Instance Method Details

#combine_full_address(address) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 285

def combine_full_address(address)
  return '' if address.blank?

  combine_hash(
    address,
    %w[
      addressLine1
      addressLine2
      city
      state
      zipCode
      country
    ],
    ', '
  )
end

#combine_other_sources_overflow(incident) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 257

def combine_other_sources_overflow(incident)
  return if incident.blank? || incident['sources'].blank?

  sources = incident['sources']
  overflow_sources = []

  sources.each do |source|
    overflow = "#{source['name']} \n #{combine_full_address(source['address'])}"
    overflow_sources.push(overflow)
  end

  overflow_sources.join(" \n\n ")
end

#combine_source_name_address(incident) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 244

def combine_source_name_address(incident)
  return if incident.blank? || incident['sources'].blank?

  incident['sources'].each_with_index do |source, index|
    combined_source_address = combine_full_address(source['address'])

    incident["combinedName#{index}"] = source['name']
    incident["combinedAddress#{index}"] = combined_source_address
  end

  incident.except!('sources')
end

#expand_incidents(incidents) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 302

def expand_incidents(incidents)
  return if incidents.blank?

  incidents.each_with_index do |incident, index|
    format_incident_overflow(incident, index + 1)
    incident['incidentDate'] = expand_incident_date(incident)
    expand_unit_assigned_dates(incident)
    incident['incidentLocation'] = expand_incident_location(incident)
    incident['unitAssigned'] = expand_incident_unit_assignment(incident)
    combine_source_name_address(incident)
  end
end

#expand_other_information ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 236

def expand_other_information
  return if @form_data['otherInformation'].blank?

  @form_data['otherInformation'].map! do |other_info|
    { 'value' => other_info }
  end
end

#format_incident_overflow(incident, index) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 276

def format_incident_overflow(incident, index)
  incident_overflow = format_incident(incident, index)

  return if incident_overflow.nil?

  incident_overflow.push("Other Sources of Information: \n\n#{format_sources_overflow(incident)}")
  incident['incidentOverflow'] = PdfFill::FormValue.new('', incident_overflow.compact.join("\n\n"))
end

#format_sources_overflow(incident) ⇒ Object (private) 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 271

def format_sources_overflow(incident)
  other_sources_overflow = combine_other_sources_overflow(incident)
  other_sources_overflow.nil? ? '' : other_sources_overflow
end

#merge_fields(_options = {}) ⇒ Object 



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# File 'lib/pdf_fill/forms/va210781a.rb', line 221

def merge_fields(_options = {})
  @form_data['veteranFullName'] = extract_middle_i(@form_data, 'veteranFullName')
  @form_data = expand_ssn(@form_data)
  @form_data['veteranDateOfBirth'] = expand_veteran_dob(@form_data)
  expand_incidents(@form_data['incidents'])
  expand_other_information

  expand_signature(@form_data['veteranFullName'], @form_data['signatureDate'])
  @form_data['signature'] = "/es/ #{@form_data['signature']}"

  @form_data
end